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    OpenPayerNPI Medicare & MedicaidChippenham & Johnston-willis Hospitals Inc
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    Chippenham & Johnston-willis Hospitals Inc — Billing Profile & Reimbursement Data

    NPI 1598708513 · Richmond, VA · General Acute Care Hospital

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    Chippenham & Johnston-willis Hospitals Inc is a general acute care hospital provider located in Richmond, Virginia. This profile covers 0 Medicare and 395 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChippenham & Johnston-willis Hospitals Inc
    Address7101 Jahnke Rd
    CityRichmond
    StateVA
    ZIP23225
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$103.7M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available data: there is no Medicare billing on file while Medicaid revenue totals $103.7M, indicating the provider’s recorded revenue stream is dominated by Medicaid rather than a split payer mix. Analysts should treat Medicare activity as nil in this profile and focus competitive and utilization analysis on Medicaid patterns.

    Revenue is highly concentrated in a small set of emergency department codes: the top three Medicaid codes (99283, 99284, 99282) account for 61.6% of total Medicaid revenue, with 99283 contributing 35.2%, 99284 contributing 18.3%, and 99282 contributing 8.1%. This level of concentration implies that emergency department E/M services are the primary revenue drivers for the facility.

    The code mix signals a high‑volume acute care emergency operation with substantial observation and imaging support: leading Medicaid codes include ED E/M codes (99283/99284/99282) plus hospital observation G0378 (31.4K claims, $3.5M revenue, 4.0%), and high volumes of CT imaging such as 70450 (22.6K claims, $3.9M, 4.5%) and 74177 (22K claims, $3.8M, 4.4%). Together these lines suggest the hospital functions as a busy ED and diagnostic center with significant throughput for acute imaging and short‑term observation care.

    On competitive standing within the state, the facility is a dominant outlier for multiple emergency codes: 99283 ranks #1 of 626 providers (100th percentile; extreme outlier), 99282 ranks #1 of 139 providers (100th percentile; extreme outlier), and 99284 ranks #9 of 620 providers (99th percentile; extreme outlier). Those rank/percentile positions indicate the hospital is a major statewide ED volume leader for low‑ to moderate‑acuity emergency visits.

    Beyond core ED services, the provider shows notable volumes in advanced imaging and respiratory testing that support acute care workflows: 71275 (CTA chest) is 10.8K claims with $2.5M revenue and ranks #3 of 125 providers (98th percentile; notably above typical), 70450 (CT head) ranks #8 of 174 (96th percentile; notably above typical), and U0003 (SARS‑CoV‑2 testing) appears with 27.3K claims and $655.9K revenue (rank #6 of 111, 95th percentile). These patterns point to robust diagnostic and testing capacity that complements the ED case mix.

    The provider also performs a meaningful volume of endoscopic and procedural work beyond ED visits: 43239 (upper endoscopy with biopsy) generated $2.1M (2.4% of Medicaid revenue) and ranks #6 of 146 (97th percentile; notably above typical), while colonoscopy polypectomy 45385 contributed $1.1M (1.3%) and ranks #5 of 65 (94th percentile). This procedural breadth indicates inpatient/ambulatory procedural capacity in gastroenterology and related services alongside ED care.

    The hospital has an established presence, with NPI enumeration dated 2006-06-14 (~20 years ago), and shows very high absolute claim counts in core codes (e.g., 99283 with 178.5K claims and 99284 with 100.1K claims), consistent with an entrenched, high‑volume community acute care provider. For payers and network managers, this tenure plus concentrated Medicaid volume marks the facility as a strategically important site for Medicaid access and emergency services planning.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    395 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.178,510$170$30.7M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.100,130$160$15.9M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.41,960$170$7M
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.22,560$170$3.9M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.22,010$170$3.8M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.23,180$160$3.7M
    G0378Hospital observation service, per hour31,380$110$3.5M
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…10,770$230$2.5M
    99281The provider sees a patient for the lowest level emergency department visit.12,680$180$2.2M
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.4,330$490$2.1M

    Showing 1–10 of 395

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    395 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.64909,030$280$3.2M
    G0463Hospital outpatient clinic visit for assessment and management of a patient40703,200$110$2.8M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.332002,840$320$2.4M
    H0035Mental health partial hospitalization, treatment, less than 24 hours1131505,420$110$1.9M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1730600$1,370$1.7M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.42340160$130$1.3M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.163090$140$1.1M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.11403,240$160$1M
    G0378Hospital observation service, per hour3803,650$160$1M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.962070$120$1M

    Showing 1–10 of 395

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Chippenham & Johnston-willis Hospitals Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of Virginia IncVAGeneral Acute Care Hospital$0$64.5M
    Columbia/hca John Randolph, Inc.VAGeneral Acute Care Hospital$0$49.1M
    El Paso Healthcare System LtdTXGeneral Acute Care Hospital$0$38.5M
    Spotsylvania Medical Center IncVAGeneral Acute Care Hospital$0$31M
    Mission Health Community Multispecialty Providers, LLCNCInternal Medicine Physician$0$24.1M
    Columbia Medical Center Of Arlington Subsidiary LPTXGeneral Acute Care Hospital$0$21.8M
    Columbia Hospital At Medical City Dallas Subsidiary LPTXGeneral Acute Care Hospital$0$21.5M
    Lewis Gale Physicians LLCVAInternal Medicine Physician$0$20.6M
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M
    Hca Health Services Of Florida, Inc.FLGeneral Acute Care Hospital$0$11.4M

    Nearby Providers

    Other providers in the same ZIP code as Chippenham & Johnston-willis Hospitals Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Onesource Community Mental Health Services Of Va, Inc.VACommunity/Behavioral Health Agency$0$47.5M
    Fidura & Associates, IncVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$29.9M
    Supportive Intervention Services, LLCVACommunity/Behavioral Health Agency$0$29M
    Orthovirginia, Inc.VAMulti-Specialty Clinic/Center$0$23.8M
    Commonwealth PediatricsVASpecialist$0$12.6M
    Clearview Counseling Services, IncVACommunity/Behavioral Health Agency$0$11.4M
    Abby Home Health Care IncVAHome Health Agency$0$11.2M
    Assured Development Services LLC.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$11.2M
    Spectrum Transformation Group, LLCVACognitive & Behavioral Psychologist$0$10.5M
    Home Is Where The Heart Is Crisis StabilizationVACommunity/Behavioral Health Agency$0$9.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Chippenham & Johnston-willis Hospitals Inc — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia